Jim Fitzpatrick – 2014 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Jim Fitzpatrick on 2014-04-29.

To ask the Secretary of State for Health, what assessment has been made of the effects of the removal of the Minimum Practice Income Guarantee on (a) GP services and (b) the income of GPs; and if he will commission research on the range and extent on GP income in Tower Hamlets.

Dr Daniel Poulter

As part of the general practitioner (GP) contract settlement in 2013, the Department decided to phase out Minimum Practice Income Guarantee (MPIG) top up payments over a seven year period, starting in the coming financial year 2014-15. This means that MPIG payments to practices will be reduced by one-seventh every year from 1 April 2014.

The money released by doing this will be reinvested in the basic payments made to all General Medical Services practices, which are based on numbers of patients and key determinants of practice workload, such as patient age, health needs and the unavoidable costs of providing services in rural areas. The decision to implement the changes over a period of seven years is designed to allow those practices that will lose funding to adjust gradually.

GPs are independent contractors and are responsible for deciding their own levels of income. The decision on how to address specific local issues will be taken by NHS England’s area teams after a full assessment of local circumstances. We understand that NHS England’s primary care team in London is in regular contact with the Chief Officer of Tower Hamlets clinical commissioning group about this issue.